Organization Active NPI

Back to Basics Healthcare LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fountain Hills, AZ
National Provider Identifier
1124717624
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BACK TO BASICS HEALTHCARE LLC
Practice address
15553 E Thistle Dr
Fountain Hills, AZ 85268-4340
Phone
(928) 263-8343
NPI assigned
May 2, 2023
Last updated
May 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sheryl Braat
Title
Owner
Phone
(928) 263-8343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

15553 E Thistle Dr
Fountain Hills, AZ 85268-4340

Mailing address

15553 E Thistle Dr
Fountain Hills, AZ 85268-4340

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1124717624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15553 E THISTLE DR",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852684340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15553 E THISTLE DR",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852684340",
            "telephone_number": "928-263-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO BASICS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "BRAAT",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-263-8343"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hills, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.